52D1086167 CLIA NUMBER - WISCONSIN MICHIGAN PHYSICIANS SC

Laboratory Demographics

  • CLIA Code: 52D1086167
  • Facility Name: WISCONSIN MICHIGAN PHYSICIANS SC
  • Facility Address: 10945 N PORT WASHINGTON RD SUITE 100
    MEQUON, WI
    ZIP 53092
  • Facility Phone: 262 478-0301
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIJAY SINGH, MD
  • NPI Number: 1992274260
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 52D1086167
LAB Type Physician Office
Facility Name WISCONSIN MICHIGAN PHYSICIANS SC
Street 10945 N PORT WASHINGTON RD SUITE 100
City MEQUON
State WI
ZIP 53092
Phone 262 478-0301
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Physician Office
Lab Director VIJAY SINGH, MD

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This page was last updated on: 9/29/2025